Kaelan Dawson, NP-BC

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

2019046635 Issued in GA

Practice address

775 Sunset Dr
Athens, GA 30606-2211

Phone

(706) 425-1500

NPI assigned

Mar 27, 2020

Last updated

Jul 17, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Promoting interoperability

99

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kaelan.dawson.1@13373.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Elbert Memorial Hospital

  dba Hartwell Family Clinic - Elbert Memorial Hospital

  • Rural Health Clinic/Center
  • Hartwell, GA
  • NPI 1770322117
  Medicare reassignment NPD
• University Cancer & Blood Center LLC

  • Hematology & Oncology Physician
  • Athens, GA
  • NPI 1346343761
  Medicare reassignment NPD
• Elbert Memorial Hospital

  dba Hartwell Family Clinic - Elbert Memorial Hospital

  • Family Medicine Physician
  • Hartwell, GA
  • NPI 1346052487
  NPD
• Elbert Memorial Hospital

  • Critical Access Hospital
  • Elberton, GA
  • NPI 1669488250
  NPD (past)
• Hospice Advantage, LLC

  dba Compassus - Kennesaw

  • Community Based Hospice Care Agency
  • Kennesaw, GA
  • NPI 1497709802
  NPD (past)
• University Health Alliance

  • Hematology & Oncology Physician
  • Athens, GA
  • NPI 1972239440
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1585267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721174400000",
    "number": "1114555083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3320 OLD JEFFERSON RD BLDG 800",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306071400",
            "telephone_number": "706-353-2990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "775 SUNSET DR",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306062211",
            "telephone_number": "706-425-1500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3320 Old Jefferson Rd Bldg 800",
            "address_purpose": "LOCATION",
            "city": "Athens",
            "state": "GA",
            "postal_code": "306071400",
            "country_code": "US",
            "telephone_number": "706-353-2990",
            "fax_number": "706-353-2992",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1230 Baxter St",
            "address_purpose": "LOCATION",
            "city": "Athens",
            "state": "GA",
            "postal_code": "306063712",
            "country_code": "US",
            "telephone_number": "706-353-2990",
            "fax_number": "706-353-2992",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1199 Prince Ave",
            "address_purpose": "LOCATION",
            "city": "Athens",
            "state": "GA",
            "postal_code": "306062797",
            "country_code": "US",
            "telephone_number": "706-353-2990",
            "fax_number": "706-353-2992",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAWSON",
        "first_name": "KAELAN",
        "name_prefix": "Dr.",
        "credential": "NP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-27",
        "last_updated": "2024-07-17",
        "certification_date": "2024-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "GA",
            "license": "2019046635",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jackson Davis
• Samantha Davis
• Shane Brinson Davis
• Thomas A. Davis, PH.D.
• William Davis, CRNA
• DC Anesthesia, LLC
• Albert R De Chicchis, PH.D., CCC-A
• Reyes Juan De Leon Payano, M.D.
• Alice M Deal, LCSW
• Suzanne Deal, CCC-SLP

• Acute Care Nurse Practitioner in Athens, GA
• Providers in Athens, GA by specialty
• Acute Care Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.